Good Shepherd Primary Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

267443 Issued in NY

Legal business name

GOOD SHEPHERD PRIMARY CARE PC

Practice address

1111 Route 110
Farmingdale, NY 11735-4820

Phone

(516) 895-5050

Fax

(516) 895-5088

NPI assigned

Aug 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Heba A Zaher, MDNPI 1316170871

Title

MD

Phone

(516) 895-5050

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heba Zaher, MD

  • Internal Medicine Physician
  • Farmingdale, NY
  • NPI 1316170871
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1649795394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ROUTE 110",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354820",
            "telephone_number": "516-895-5050",
            "fax_number": "516-895-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ROUTE 110",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354820",
            "telephone_number": "516-895-5050",
            "fax_number": "516-895-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD SHEPHERD PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-02-14",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "ZAHER",
        "authorized_official_first_name": "HEBA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-895-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "267443",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Gonzalez
• Miguel Gonzalez, PA-C
• Opal Gonzalez
• Good Shepherd Hospice
• Good Shepherd Hospice
• Janine Gooden
• Meryl Goodman, MS IN SPECIAL ED
• Aimee Terese Goodwin, RPA-C
• Audrey Gordon
• Stacey Gouzos

• Internal Medicine Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.